Takara Dickson, PHYSICIAN ASSISTANT
NPI 1184249146ActiveIndividual· Physician Assistant, Medical· Fairfield, CA
Physician Assistant, Medical (PHYSICIAN ASSISTANT) in Fairfield, California, trained at University of Utah School of Medicine (class of 2021). In 2024 Medicare paid $13,326 for 80 patients, and Part D covered 72 of their prescriptions, 78% of them generic. W. L. Gore & Associates, Inc. was the largest of 6 companies reporting payments in 2025, $335.60 in all, mostly food and beverage.
Overview
| NPI | 1184249146 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | No |
| NPI issued | Jun 15, 2020 |
| Last updated in NPPES | Jan 25, 2023 |
| Certified by provider | Jan 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA60134 | CA |
| Physician Assistant | 363A00000X | 60134 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 147 across 34 procedure codes |
| Paid by Medicare | $13,326 |
Part D prescriptions in 2024
| Prescriptions (claims) | 72 · 118 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $13,745 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Northbay Physicians Surgery Center, LLCFairfield, CA · 324 clinicians
- Northbay Health Medical FoundationFairfield, CA · 213 clinicians
Hospital affiliation
- Northbay Medical CenterFairfield, CA
Industry payments (Open Payments)
- 2025$335.60 · 8 payments from 6 companies
- 2024$120.52 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| W. L. Gore & Associates, Inc. | $123.08 | 1 |
| Abbott Laboratories | $94.65 | 1 |
| Edwards Lifesciences Corporation | $34.24 | 2 |
| Bayer Healthcare Pharmaceuticals Inc. | $32.91 | 2 |
| Stryker Corporation | $26.12 | 1 |
What the 2025 payments were for
- Food and Beverage$335.60 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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